Individual
TONIA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1335
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20394
SC
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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